| No: B-334 | Date: 06/10/2025 | ||
| Patient Name: AARADHYA MAULIK DESAI | |||
| Age: 10M | M/F: FEMALE | ||
| Address:- KUVARVA | |||
| D.O.A.: 04/10/2025 | D.O.D.: 06/10/2025 | ||
| Diagnosis: PNUMONIA | |||
| Particulars | Days | Unit Cost (Rs.) | Amount (Rs.) |
|---|---|---|---|
| TOTAL ( R/N/D )CHARGE | 3 | 6,000.00 | 18,000.00 |
| TOTAL | 18000.00 | ||
| IN WORDS : EIGHTEEN THOUSAND RUPEES ONLY | |||
| Signature | |||